person
Jean A. Russo, CPNP
Pediatric Nurse Practitioner in Skokie, Illinois
NPI 1992023535

Jean A. Russo is a Pediatric Nurse Practitioner based in Skokie, IL and is specialized in Pediatrics. Jean A. Russo practices in Skokie, IL and has the professional credentials of CPNP. The NPI Number for Jean A. Russo is 1992023535 and holds a License No. 363LP0200X (Illinois).

The current practice location address for Jean A. Russo is 4709 Golf Rd Ste 900, Skokie, IL and can be reached out via phone at 847-676-5394 and via fax at 847-679-7183.

Location: 4709 Golf Rd Ste 900, Skokie, IL, 60076-1244
person
Provider Profile Details
NPI Number
1992023535
Provider Name
Jean A. Russo
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
4709 Golf Rd Ste 900, Skokie, IL, 60076-1244
Phone Number
847-676-5394
Fax Number
847-679-7183
Provider Enumeration Date
05/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4709 Golf Rd Ste 900
City
State
Zip
60076
Phone Number
847-676-5394
Fax Number
847-679-7183
person
Provider Business Mailing Address Details
Address
4709 Golf Rd Ste 900
City
State
Zip
60076
Phone Number
847-676-5394
Fax Number
847-679-7183
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
363LP0200X (Illinois)
Definition
Definition to come...
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